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Home My WebLink AboutX2020-0425 - Permits�whrg City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 M Permit Counter Phone (949)644-3288 v - Inspection Requests Phone (949)644-3255 rrr,v'' Combination Type - MFP IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0425 x 2 0 2 0 0 4 2 5 Project No : 0331-2020 Issued Date: 02118/2020 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 433 BAYWOOD DR NB Description: MFR DRYWALL RPR DUE TO MOLD. R/R 1/2" GYP BOARD, LIKE FOR LIKE. MASTER, GUEST BRIBATH CEILINGS 390 SF Legal Desc.: Owner: IRVINE CO Contractor: NATIONAL RENOVATION INC Architect: RANIERI RANDY Address: 111 INNOVATION Address: PO BOX 78810 Address: 206 1/2 ABALONE AVE IRVINE CA 92618 CORONA CA 92877 NEWPORT BEACH CA 92662 Phone: Phone: 909-923-2077 Phone: 714-296-6602 State Lic:CO24226 Applicant: TRUAX JAY Con State Lic: 956793 Engineer: Address: 206.5 ABALONE AV Lic Expire: 01/31/2021 Address: BALBOA ISLAND CA 92662 Bus Lic: BT30062023 Phone: Lic Exp Date: 02/29/2020 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: FALLS LAKE Address: Occupancy Group: R2 Policy No: FLA01243300 Added /New sq.ft. Bldg: 0 Expire: 0910112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 8 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I �] Flood Zone: X Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N INSr �, Construction Valuation: $3,200.00 Building Permit Fee: $136.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $118.32 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 IITOTAL FEE: $301.32 Plan Check Fee: $158.32 ®®: • ® Fee Due at Permit Issuance : $143.00 PROCESSED BY: ® `o o `piJbLIC tWOki APPROVAL: • o 0 0 o m ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: • • o APPROVIAL40 ISSUE: 0 • O O B b 04 • • O• Y O O O O O uc oce c e oo no aoo OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegallt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P.i�ssions-God&-andm. 'tense is in full force and effect. License Class License No D,�te,r�_ I Sir �i r 7 Contractor Signa4Lt WORKERS' COMPENSATION DECLARATION 5_ NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: Pthave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rf Enance of the work for which this permit is issued. Policy No. I av and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Cce carrier and policy number are: 'ier. Policy Number is of Agent _ certify that, in the performance of the work for which this permit is issued, I shall not if I should become subject t the workers' cor7lpensatieR � r 'sione-o - Date person in any manner so as to become subject to the workers' compensation laws of California, and r Code, I shall forthwith comply with those provisions. Signature of Applicant Dawn L DECLARATION REGAR 14N-6ENB4 G 4V'X� I hereby affirm under pe ,a erjury that there onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each he he following: I am the property owner or authori2edto act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to 1 b :identified for inspection purposes. Signature of Property Owner or Authorized Agent -"'Print-Property Owner s or Authorized Agent's Nam ��^ " S Date ACTION DATE BY RATION OF COMPLIANCE WITH CODPEOTTEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• ••• • .•• PERMITEXPIRED. ISUBMITTE A ESIb TIF TIO `TO PERMITCANCELLED AIEPA ' • " �' PERMIT EXTENDED PQMD PERMITFINAL t8 BESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEM OCCUPANCYISSUED i GS SIGNATU '' •'